Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHALETHA M BOLDEN, DDS, MSD
Active Sole ProprietorSHALETHA M BOLDEN, DDS, MSD is a Endodontics healthcare provider located in CANTON, Georgia. NPI 1013171438 is currently active in the NPPES registry. Verify at CMS.
Endodontics · CANTON, GA
Registration Details
- NPI Number
- 1013171438
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2008 (18.048302720222 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
27790 (TX)8802 (TN)DN015429 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1425 RIVERSTONE PKWY STE 200CANTON, GA, 301145611Browse GA providers · Browse ZIP 30114
- Phone
- 7704790600
- Primary Specialty
-
Endodontics
1223E0200X
- Additional Specialty
- Endodontics
- Additional Specialty
- Endodontics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.